Understanding enterprise data warehouses to support clinical and translational research: enterprise information technology relationships, data governance, workforce, and cloud computing.
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DOI: 10.1093/jamia/ocac206
Author(s):
DOI: 10.1093/jamia/ocac206
To identify and characterize clinical subgroups of hospitalized Coronavirus Disease 2019 (COVID-19) patients.
Author(s): Ta, Casey N, Zucker, Jason E, Chiu, Po-Hsiang, Fang, Yilu, Natarajan, Karthik, Weng, Chunhua
DOI: 10.1093/jamia/ocac208
Patient phenotype definitions based on terminologies are required for the computational use of electronic health records. Within UK primary care research databases, such definitions have typically been represented as flat lists of Read terms, but Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT) (a widely employed international reference terminology) enables the use of relationships between concepts, which could facilitate the phenotyping process. We implemented SNOMED CT-based phenotyping approaches and investigated their [...]
Author(s): Elkheder, Musaab, Gonzalez-Izquierdo, Arturo, Qummer Ul Arfeen, Muhammad, Kuan, Valerie, Lumbers, R Thomas, Denaxas, Spiros, Shah, Anoop D
DOI: 10.1093/jamia/ocac158
Electronic (e)-phenotype specification by noninformaticist investigators remains a challenge. Although validation of each patient returned by e-phenotype could ensure accuracy of cohort representation, this approach is not practical. Understanding the factors leading to successful e-phenotype specification may reveal generalizable strategies leading to better results.
Author(s): Hamidi, Bashir, Flume, Patrick A, Simpson, Kit N, Alekseyenko, Alexander V
DOI: 10.1093/jamia/ocac157
COVID-19 survivors are at risk for long-term health effects, but assessing the sequelae of COVID-19 at large scales is challenging. High-throughput methods to efficiently identify new medical problems arising after acute medical events using the electronic health record (EHR) could improve surveillance for long-term consequences of acute medical problems like COVID-19.
Author(s): Kerchberger, Vern Eric, Peterson, Josh F, Wei, Wei-Qi
DOI: 10.1093/jamia/ocac159
For caregivers of adolescents and young adults with severe cognitive deficits, or "diminished capacity," access to the medical record can be critical. However, this can be a challenge when utilizing the electronic health record (EHR) as information is often restricted in order to protect adolescent confidentiality. Having enhanced access for these proxies would be expected to improve engagement with the health system for the families of these medically complex adolescents [...]
Author(s): Carlson, Jennifer L, Pageler, Natalie, McPherson, Tom, Anoshiravani, Arash
DOI: 10.1055/s-0043-1760847
Clinical decision support (CDS) has promise for the implementation of antimicrobial stewardship programs (ASPs) in the emergency department (ED). We sought to assess the usability of a newly developed automated CDS to improve guideline-adherent antibiotic prescribing for pediatric community-acquired pneumonia (CAP) and urinary tract infection (UTI).
Author(s): McGonagle, Erin A, Karavite, Dean J, Grundmeier, Robert W, Schmidt, Sarah K, May, Larissa S, Cohen, Daniel M, Cruz, Andrea T, Tu, Shin-Ping, Bajaj, Lalit, Dayan, Peter S, Mistry, Rakesh D
DOI: 10.1055/s-0042-1760082
The aim of the study is to identify and prioritize early intervention (EI) stakeholders' perspectives of supports and barriers to implementing the Young Children's Participation and Environment Measure (YC-PEM), an electronic patient-reported outcome (e-PRO) tool, for scaling its implementation across multiple local and state EI programs.
Author(s): Rizk, Sabrin, Kaelin, Vera C, Sim, Julia Gabrielle C, Murphy, Natalie J, McManus, Beth M, Leland, Natalie E, Stoffel, Ashley, James, Lesly, Barnekow, Kris, Papautsky, Elizabeth Lerner, Khetani, Mary A
DOI: 10.1055/s-0042-1760631
The growing interest in the secondary use of electronic health record (EHR) data has increased the number of new data integration and data sharing infrastructures. The present work has been developed in the context of the German Medical Informatics Initiative, where 29 university hospitals agreed to the usage of the Health Level Seven Fast Healthcare Interoperability Resources (FHIR) standard for their newly established data integration centers. This standard is optimized [...]
Author(s): Palm, Julia, Meineke, Frank A, Przybilla, Jens, Peschel, Thomas
DOI: 10.1055/s-0042-1760436
It is 30 years since evidence-based medicine became a great support for individual clinical expertise in daily practice and scientific research. Electronic systems can be used to achieve the goal of collecting data from heterogeneous datasets and to support multicenter clinical trials. The Ligurian Infectious Diseases Network (LIDN) is a web-based platform for data collection and reuse originating from a regional effort and involving many professionals from different fields.
Author(s): Mora, Sara, Giannini, Barbara, Di Biagio, Antonio, Cenderello, Giovanni, Nicolini, Laura Ambra, Taramasso, Lucia, Dentone, Chiara, Bassetti, Matteo, Giacomini, Mauro
DOI: 10.1055/s-0042-1760081